MEDICARE: USA MEDICAL PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician	H1967	TX

General Provider Information

NPI Number	:	1710421953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USA MEDICAL PA

Provider Business Mailing Address
First Line	:	5710 LBJ FWY
Second Line	:	SUITE 325
City	:	DALLAS
State	:	TX
Zip	:	75240-6324
Country	:	US
Telephone Number	:	214-396-4266
Fax Number	:	214-615-2955

Provider Business Practice Location Address
First Line	:	2424 50TH ST
Second Line	:	SUITE 101
City	:	LUBBOCK
State	:	TX
Zip	:	79412-2549
Country	:	US
Telephone Number	:	806-792-7888
Fax Number	:	806-792-6881

Authorized Official
Title or Position	:	PRESIDENT/CHIEF EXECUTIVE DIRECTOR
Name	:	DR. DARWIN IRA GRIFFETH IV
Credential	:	D.C.
Telephone Number	:	214-770-2833

Provider Enumeration Date	:	12/07/2016
Last Update Date	:	12/07/2016

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Directions to “USA MEDICAL PA ” Practice Location

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